Edward Prior, M.D.
Internal Medicine Physician · West Haven, CT
Edward Prior, M.D. is an internal medicine physician with a practice address in West Haven, Connecticut, and NPI 1336130293, issued on Oct 31, 2005. Check the license (Connecticut 026944, as entered in NPPES) on the Connecticut Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Edward Prior
- Credential
- M.D.
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- 026944 CT
Self-reported in NPPES; status is on the state search - Practice location
- 687 Campbell Ave, West Haven, CT 06516
- Phone
- (203) 932-6481
- Enumerated
- Oct 31, 2005
- Record last updated
- Apr 10, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (203) 932-4051
- Medicaid ID
- 001269449 CT
- Medicare enrollment
- Enrolled (PECOS I20100219000220); accepts Medicare assignment
- Medical or professional school
- Albert Einstein College Of Medicine Of Yeshiva University, 1978
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 2,623 in Connecticut → Look up another NPI →
Also registered at 687 Campbell Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Olutoyin Adesola, APRNFamily Nurse Practitioner1043732746
- Lisa Alexander, NPAcute Care Nurse Practitioner1316975535
- Marie-Reine Byron, APRNFamily Nurse Practitioner1982275871
- Renee Donnarumma, MSN, APRNFamily Nurse Practitioner1831335462
- Mark Drabinski, M.D.Internal Medicine Physician1811992902
- Karolina Dudzik, APRNAdult Health Nurse Practitioner1649713926
Verify Edward Prior in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersConnecticut Medical Examining Board
Search for license 026944Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
8% fewer Medicare Part D claims than the average internal medicine physician in 2024
2,927 Medicare Part D claims for 186 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 19% of claims. 12 claims were for opioids.
Most prescribed
- Atorvastatin Calcium219 claims
- Clonazepam112 claims
- Amlodipine Besylate105 claims
- Duloxetine Hcl88 claims
- Mounjaro87 claims
- Alprazolam72 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 94.2 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $2,061.07
94 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Margaret Chustecka Internal Medicine OF Greater New HavenHamden, CT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Edward Prior among 2,623 internal medicine physician records in Connecticut
Edward Prior, M.D. is one of 2,623 internal medicine physician records with a practice address in Connecticut. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 89% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated1978 · median 2004 among the 1,646 with a school on file
- Record last updated2018 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Connecticut practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
84 internal medicine physician records list a practice address in West Haven
They are 84 of the 1,356 NPPES records with a practice address in West Haven, and 2,623 internal medicine physician records in Connecticut.
All 2,623 in Connecticut → Every provider in West Haven → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Horatiu Balas, M.D.West Haven, CT 065161720084320
- Christine Cheng, MDWest Haven, CT 065161598753980
- Mark Drabinski, M.D.West Haven, CT 065161811992902
- Benedict Fernando, M.D.West Haven, CT 065161932105624
- Glen Gechlik, MDWest Haven, CT 065161710972393
- Jurgen Holleck, M.D.West Haven, CT 065161811964257
- Avlin Imaeda, MDWest Haven, CT 065161851375612
- Laurence Knoll, MDWest Haven, CT 065161003886649
Common questions
What is Edward Prior, M.D.'s NPI number?
Edward Prior, M.D.'s National Provider Identifier (NPI) is 1336130293, issued on Oct 31, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Edward Prior, M.D. located?
The NPPES record lists a practice address at 687 Campbell Ave, West Haven, CT, 06516. Phone: (203) 932-6481. Providers update this record themselves, so call before visiting.
How can I verify Edward Prior, M.D.'s license?
NPPES lists Connecticut license number 026944, as entered by the provider. Search the Connecticut Medical Examining Board at https://www.elicense.ct.gov/Lookup/LicenseLookup.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Edward Prior, M.D. prescribe under Medicare Part D?
In 2024, Edward Prior, M.D. had 2,927 Medicare Part D claims for 186 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Edward Prior, M.D.'s MIPS final score?
The 2023 MIPS final score is 94.2 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.